Anastomotic leak following mesorectal excision for rectal cancer: True incidence and diagnostic challenges

Colorectal Disease

Volumn 7, Issue 6, 2005, Pages 576-581

  Nesbakken, Arild ^a   Nygaard, K ^a   Lunde, O C ^a   Blucher J ^b   Gjertsen, O ^b   Dullerud, R ^b  

^a OSLO UNIVERSITY HOSPITAL   (Norway)

^b AKER UNIVERSITY HOSPITAL   (Norway)

Author keywords

Anastomosis; Postoperative complications; Prospective studies; Radiography; Rectal neoplasms pathology surgery; Surgical adverse effects

Indexed keywords

ANASTOMOSIS LEAKAGE; ARTICLE; CLINICAL TRIAL; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; HOSPITALIZATION; HUMAN; INCIDENCE; INTESTINE ENDOSCOPY; INTESTINE RADIOGRAPHY; MAJOR CLINICAL STUDY; MEDICAL ASSESSMENT; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RECTUM CANCER; RECTUM RESECTION; SENSITIVITY AND SPECIFICITY; SYMPTOM;

ANASTOMOSIS, SURGICAL; DIGESTIVE SYSTEM SURGICAL PROCEDURES; ENDOSCOPY, GASTROINTESTINAL; HUMANS; RECTAL NEOPLASMS; RECTUM; SURGICAL WOUND DEHISCENCE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 27744463409     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/j.1463-1318.2005.00870.x     Document Type: Article

References (28)

1. Nesbakken A, Nygaard Y, Westerheim O, Lunde OC, Mala T. Audit of intraoperative and early postoperative complications after introduction of mesorectal excision for rectal cancer. Eur J Surg 2002; 168: 229-35.
2. Dehni N, Schlegel RD, Cunningham C et al. Influence of a defunctioning stoma on leakage rates after low colorectal anastomosis and colonic J pouch-anal anastomosis. Br J Surg 1998; 85: 1114-7.
3. Karanjia ND, Corder AP, Bearn P, Heald RJ. Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum. Br J Surg 1994; 81: 1224-6.
4. Arbman G, Nilsson E, Hallbook O, Sjodahl R. Local recurrence following total mesorectal excision for rectal cancer. Br J Surg 1996; 83: 375-9.
5. Hainsworth PJ, Egan MJ, Cunliffe WJ. Evaluation of a policy of total mesorectal excision for rectal and rectosigmoid cancers. Br J Surg 1997; 84: 652-6.
6. Jatzko GR, Jagoditsch M, Lishorg PH et al. Long-term results of radical surgery for rectal cancer: multivariate analysis of prognostic factors influencing survival and local recurrence. Eur J Surg Oncol 1999; 25: 284-91.
7. Kapiteijn E, Kranenbarg EK, Steup WH et al. Total mesorectal excision (TME) with or without preoperative radiotherapy in the treatment of primary rectal cancer. Prospective randomised trial with standard operative and histopathological techniques. Dutch ColoRectal Cancer Group. Eur J Surg 1999; 165: 410-20.
8. Law WI, Chu KW, Ho JW, Chan CW. Risk factors for anastomotic leakage after low anterior resection with total mesorectal excision. Am J Surg 2000; 179: 92-6.
9. Martling AL, Holm T, Rutqvist LE et al. Effect of a surgical training programme on outcome of rectal cancer in the County of Stockholm. Stockholm Colorectal Cancer Study Group, Basingstoke Bowel Cancer Research Project. Lancet 2000; 356: 93-6.
10. Moran BJ, Blenkinsop J, Finnis D. Local recurrence after anterior resection for rectal cancer using a double stapling technique. Br J Surg 1992; 79: 836-8.
11. Smedh K, Olsson L, Johansson H, Åberg C, Andersson M. Reduction of postoperative morbidity and mortality in patients with rectal cancer following the introduction of a colorectal unit. Br J Surg 2001; 88: 273-7.
12. Carlsen E, Schlichting E, Guldvog I, Johnson E, Heald RJ. Effect of the introduction of total mesorectal excision for the treatment of rectal cancer. Br J Surg 1998; 85: 526-9.
13. Kapiteijn E, Putter H, van de Velde CJ. Impact of the introduction and training of total mesorectal excision on recurrence and survival in rectal cancer in The Netherlands. Br J Surg 2002; 89: 1142-9.
14. Creagh T, Broe P, Clery A. Routine post-operative gastrograffin enema following anterior resection: a worthwhile auditing procedure? Ir Med J 1987; 80: 426.
15. Docherty JG, McGregor JR, Akyol AM, Murray GD, Galloway DJ. Comparison of manually constructed and stapled anastomoses in colorectal surgery. West of Scotland and Highland Anastomosis Study Group. Ann Surg 1995; 221: 176-84.
16. Dorricott NJ, Baddeley RM, Keighley MR et al. Complications of rectal anastomoses with end-to-end anastomosis (EEA) stapling instrument. Clinical and radiological leak rates and some practical hints. Ann R Coll Surg Engl 1982; 64: 171-4.
17. Goligher JC, Lee PW, Simpkins KC, Lintott DJ. A controlled comparison one- and two-layer techniques of suture for high and low colorectal anastomoses. Br J Surg 1977; 64: 609-14.
18. Graf W, Glimelius B, Bergstrom R, Pahlman L. Complications after double and single stapling in rectal surgery. Eur J Surg 1991; 157: 543-7.
19. Horn HU, Roding H. Clinically silent suture insufficiency in colorectal surgery. Zentralbl Chir 1987; 112: 909-13.
20. Lazorthes F, Chiotassol P. Stapled colorectal anastomoses: peroperative integrity of the anastomosis and risk of postoperative leakage. Int J Colorectal Dis 1986; 1: 96-8.
21. McGinn FP, Gartell PC, Clifford PC, Brunton FJ. Staples or sutures for low colorectal anastomoses: a prospective randomized trial. Br J Surg 1985; 72: 603-5.
22. Redmond HP, Austin OM, Clery AP, Deasy JM. Safety of double-stapled anastomosis in low anterior resection. Br J Surg 1993; 80: 924-7.
23. Tuson JR, Everett WG. A retrospective study of colostomies, leaks and strictures after colorectal anastomosis. Int J Colorectal Dis 1990; 5: 44-8.
24. DuBrow RA, David CL, Curley SA. Anastomotic leaks after low anterior resection for rectal carcinoma: evaluation with CT and barium enema. Am J Roentgenol 1995; 165: 567-71.
25. Hallbook O, Sjodahl R. Anastomotic leakage and functional outcome after anterior resection of the rectum. Br J Surg 1996; 83: 60-2.
26. Nesbakken A, Nygaard K, Lunde OC. Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer. Br J Surg 2001; 88: 400-4.
27. Akyol AM, McGregor JR, Galloway DJ, Murray G, George WD. Recurrence of colorectal cancer after sutured and stapled large bowel anastomoses. Br J Surg 1991; 78: 1297-300.
28. Markham NI, Greatorex RA, Everett WG. The value and significance of the limited barium enema examination following restorative resection for carcinoma of the rectum. Ann R Coll Surg Engl 1987; 69: 116-8.